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Nutrition:
Science that studies food and how food nourishes our bodies and influences our health.

- one of the several factors contributing to health
Obesity:
- significantly affected by nutrition and activity
- regularly consuming foods that are high in total energy, fat
- low in fibre, fruits, vegetables and whole grains

- accompanying disease: heart disease, diabetes, some cancer
Under nutrition:
a diet that lacks energy or specific essential nutrients
Essential nutrients:
- nutrients that must come from food or nutrient supplements because they are not manufactured by the body at all, or in not in amounts that meet the body's need
Over nutrition:
A diet that has an imbalance of fats, carbs, or proteins or simply too much energy
malnutrition
any condition associated with under or over nutrition
What are the 6 classes of nutrients? Which are inorganic, which organic?
1. Carbs o
2. Lipids o
3. proteins o
4. vitamins o
5. minerals i
6. water i
What are nutrients?
Chemicals in foods that are critical to human growth and function
Macronutrients: name them?
- our bodies need in relatively large amounts to support normal function and health
- carbs, fats, protiens
How are energy units expressed? Describe. How many do fats provide vs. carbs and protein / gram?
kilocalorie (kcal)
Kilojoules (kJ)
Fats:9 Kcal (37 kJ)
Carbs and pro: 4
Kilocalorie:
amount of energy required to raise the temperature of 1g of water by 1oC.
Diseases in which nutrition plays some role?
- osteoporosis
- osteoarthritis
- some cancers
Disease in which nutrition plays a strong role?
- type 2 diabetes
- HD
- high BP
- Obesity
Disease caused by nutritional deficiencies or toxicity's
- pellegra
- scurvy
- iron deficiency anemia
- other vitamin and mineral deficiencies
- nutrient toxicity's
Carbs:
- primary fuel source
- brain and physical exercise
- rice, wheat, veggies, fruits, legumes, milk, seeds, nuts
- dietary fiber: functional role in intestine
Lipids:
- diverse group
- insoluble in water
- phosopolipids, triglycerides, sterols
- pack tightly due to less oxygen
- at rest and low intensity
- butter, lard, oils
- cholesterol
Protein:
- nitrogen
- amino acids make them up
- not a primary energy source
- build new cels and tissues,
Vitamins:
Organic compounds that assist us in regulating our bodies processes
- micronutrient
Which Vitamins are fat- soluble?
What does it mean?
A,D, E, K
- soluble in fat
- stored in the body
- toxicity can occur from consuming too much
Which Vitamins water soluble?
What does it mean?
C, B
- not stored in body
- excess in urine
- only toxic if over supplemented
Minerals:
- inorganic substances that are not broken down during digestion and absorption and are not destroyed by heat or light
- assist in regulation of many body processes and classified as major or trace.
- ex: sodium, potassium, Calcium, Mg, Fe
Major Minerals:
- Need more than 100 mg/ day
- Amount in body greater than 5 g
- Ca, P, Mg, Na, Ka, Cl, S
Minor Minerals:
- less than 100 mg a day
- amount less than 5 g
- Fe, Zn, Cu, Ma, Se, I, Fl, Cr, molybdenum
Why is water so important?
- proper balance of fluid inside and outside our cells
- regulation of nerve impulses, muscle contractions, nutrient transport
- excretion of waste
Dietary Reference Intakes:
DRIs
A set of nutrition reference values for canada and US that applies to healthy people
Estimated Average Requirement:
EAR
- average daily nutrient intake level estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group
Recommended Dietary Allowance:
RDA
- Average daily nutrient intake level that meets the nutrient requirements of 97% to 98 of healthy people in a particular life stage and gender.
Adequate Intake:
AI
- recommended daily nutrient level based on observed or experimentally determined estimates of nutrient intake by a group of healthy people

- when RDA cannot be determined
Tolerable Upper intake Level:
UL:
- highest average daily nutrient level likely to pose a risk of adverse health effects to almost all individuals in a particular life stage and gender group
Estimated Energy Requirement:
EER
- average dietary energy intake that is predicted to maintain energy balance in healthy reference adults.
Acceptable Macronutrient Distribution Ranges
(AMDR)
- ranges of intakes for energy sources associated with reduced risk of chronic disease while providing adequate intakes of essential nutrients.
Registered Dietitian:
- health professional
- Bacherlor's degree in foods and nutrition
- after they complete dietetic internship or practice experience.
- most complete Canadian Dietetic Registration Exam
Nutritionist:
- different across all provinces
Professional with an advanced degree in nutrition:
- not all RDs
- may have good info, but not qualified to provide counseling
MD:
- licensed to practice
- may only have limited experience
- may refer you to RD
START OF CHAP 3:
3 reasons we eat:
–Energy for body processes
–Heat for body temperature regulation
–Building blocks for growth and maintenance of body tissues
Why do we succumb?
- food stimulates our senses.
- Visual appeal
- Smell (when were sick not as much)
- Texture
- taste
Psychosocial factors that arouse appetite: (2)
Appetite
Hunger
Appetite:
psychological desire to eat certain foods.
- aroused by environmental cues
- usually not related to hunger
Hunger:
physiological sensation that prompts us to eat.
- sometimes the two overlap
Satiety
the feeling of being full.
Social cues and environmental:
- appetite often realated to holidays or events
ie; baseball games, movies
-
What signals prompt us to eat?
Hypothalamus: triggers hunger by integrating signals from nerve cells throughout our bodies
- specialized cells lining the stomach and small intestine perceive whether these organs are empty or distended and send signals

Blood glucose: when the levels fall, insulin and glucagon levels change.
Hormones:
chemical messengers that are secreted into the blood stream in response to a stimulus or signal by one of the many glands of the body. acts remotely
Satiety value in diff foods:
- protein very high,

fats as well
- carbs low

- bulk
- liquid vs. solid
What are the three processes in food digestion?
1.Digestion
2.Absorption
3.Elimination
Digestion (2 kinds):
the process of breaking large food molecules down to smaller molecules.

Mechanical digestion: the physical breakdown of food.
–Chemical digestion: enzymatic reactions that break down large food molecules.
Absorption:
process of taking these products of digestion through the wall of the intestine for entry into the bloodstream or lymph system
Elimination
process by which the undigested and unabsorbed portions of food and waste products are removed from the body
Gastrointestinal tract facts:
- where all these processes happen
- long, muscular tube, 4.5 m in length. mouth to anus
Cephalic:
earliest phase of digestion in which the brain thinks about and prepares the digestive organs for the consumption of food
Mouth: what process, enzymes?
Chewing is the mechanical digestion that breaks food into smaller pieces
–Some chemical digestion takes place
•Salivary amylaseis an enzyme produced by the salivary glands that begins the chemical digestion of carbohydrates.
epiglottis
covers the opening to the trachea during swallowing.

- normally open allowing us to breath
- as food bolus moves down, brain sends signal to close epiglottis
epiglottis
covers the opening to the trachea during swallowing.

- normally open allowing us to breath
- as food bolus moves down, brain sends signal to close epiglottis
esophagus
Food travels from the mouth to the stomach through this

-
esophagus
Food travels from the mouth to the stomach through this

-
Peristalsis
muscular contractions moving food through the GI tract.
Peristalsis
muscular contractions moving food through the GI tract.
gastroesophageal sphincter
- cardiac
- lower esophageal
separates the esophagus from the stomach.
- when food reaches end the closed sphincter relaxes and opens
gastroesophageal sphincter
- cardiac
- lower esophageal
separates the esophagus from the stomach.
- when food reaches end the closed sphincter relaxes and opens
Stomach:
J shaped organ where food is:
- partially digested,
- churned,
- held until going to the small intestine

–Extensive mechanical digestion to mix food with gastric juice
–Chemical digestion of proteins and fats
Stomach:
J shaped organ where food is:
- partially digested,
- churned,
- held until going to the small intestine

–Extensive mechanical digestion to mix food with gastric juice
–Chemical digestion of proteins and fats
Digestion in the stomach:
- brain signals food is coming
- hormone gastrin: acts on gastric cells and stimulates them to secrete digestive juices
- secreting gastric juice
Digestion in the stomach:
- brain signals food is coming
- hormone gastrin: acts on gastric cells and stimulates them to secrete digestive juices
- secreting gastric juice
Components in gastric juice:
–Hydrochloric acid (HCl)–to denature proteins and activate pepsin
–Pepsin–an enzyme to digest protein
–Gastric lipase–an enzyme to digest fat
–Mucus–to protect the stomach lining
Components in gastric juice:
–Hydrochloric acid (HCl)–to denature proteins and activate pepsin
–Pepsin–an enzyme to digest protein
–Gastric lipase–an enzyme to digest fat
–Mucus–to protect the stomach lining
Chyme
semi-solid product of mechanical and chemical digestion in the stomach.
Chyme
semi-solid product of mechanical and chemical digestion in the stomach.
What kind of stuff does the stomach absorb? Whats the last job of the stomach?
- most occurs in SI
- begins to absorb a few things
- water
- medium- chain fatty acids
- some drugs

- store while the rest of the GI gets ready, and release slowly
What kind of stuff does the stomach absorb? Whats the last job of the stomach?
- most occurs in SI
- begins to absorb a few things
- water
- medium- chain fatty acids
- some drugs

- store while the rest of the GI gets ready, and release slowly
What blocks the entrance to the small intestine?
pyloric sphincter
What blocks the entrance to the small intestine?
pyloric sphincter
Small intestine:
- largest part of GI
- long, narrow
- dudenum, jejunum, ileum
- most absorption takes place here
- accessory organs
accessory organs of GI tract:
–Liver–produces bilewhich emulsifies fats
–Pancreas
•produces many digestive enzymes
•produces bicarbonate to neutralize chyme
–Gall bladder–stores bile
Gallbladder:
- reacts to cholecystokinin
- contracts
- releases bile
- bile emulsifies fat
Pancreas:
manufactures, holds and secretes digestive enzymes
- pancreatic amylase- carbs
- lipase- fats
- proteases
- metabolism hormones: insulin, glucagon
- bicarbonate to neutralize acidic chyme
Absorption in the small intestine:
- heavily folded
- villi- constant movement helps them to encounter and trap nutrient molecules, inside are capillaries (vessels)
- lacteal: small lymph vessels
These vessels: responsible for take up final products of digestion

- water to blood, fat to lymph

- covering villi are microvilli- increasing SA
-
What are the two main fluids that transport nutrients, water and waste products throughout the body? Where does it take stuff from the GI tract?
blood and lymph

Blood: to the liver
Liver and nutrients:
- very important accessory organ
- receives products of digestion and distributes nutrients around body through blood stream
- stores excess
- glucose levels

-removes toxins and wastes
Large intestine;
Spincter: ilieocecal valve
thick, tublike structure
cecum,
ascending colon
transverse colon
descending colon
sigmoid colon: last segment

Rectum
Anal canal
What does the large intestine do?
- undigested and unabsorbed food components come here
- resident bacteria: ferment some of the nutrients
- hold for about 12 to 24 hours, and absorb nutrients and water leaving feces
Bowl movement?
elimination of feces
What controls the GI tract? how?
Neuromuscular system
- the muscles of GI tract mix food and move it
- Voluntary ones: chew, swallow, expel waste

Enteric nerves of Gi tract: work with CNS to achieve digestion, absorption and elimination
What is heart burn? whats it called when it occurs more than twice a week?
- seepage of gastric juices into the esophagus

Gastroesophageal reflux disease
Peptic ulcers: found where? what causes them? what complications?
located: stomach or duodenum
caused by: erosion of the GI trat by hydrocholoric acid and pepsin
- painful,

Complications: internal bleeding, anemia, fatal infections

major causes: Helicobacter pylori
- anti inflammatory drugs
Food allergies: what are they?
- hypersensitivity to food caused by immune reaction
Celiac disease:
- genetic disorder
causes intolerance of gluten
What is Irritable bowel syndrome? what does it cause? risk factors? Treatments?
- ab cramps, bloating, constipation, diarrhea
- causes unknown
- risks: stress, caffiene, dairy, chocolate, alcohol
- treatment: meds, stress management, excerside, high fibre
Diarrhea:
frequent passage of loose or watery stools

- dehydration
Constipation:
failure to have a bowel movement for 2 or more days within a time normal for that person

-